COLETTE R BROGAN (NPI# 1073057840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073057840 |
| Entity Type | Individual |
| Full Name | COLETTE R BROGAN |
| Credential | OT |
| Practice Address |
3305 Central Park Village Dr Eagan MN 55121-7707 |
| Practice Telephone | 6514068860 |
| Mailing Telephone | 6514068860 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 104150 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3305 CENTRAL PARK VILLAGE DR |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-7707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369322 | Nicole Lynne Paterson | Pharmacist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2005-07-14 |
| 1528612017 | Sarah Jordan Shockley | Pharmacist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2019-08-01 |
| 1477037257 | Kathleen D Moore | Speech-Language Pathologist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2018-09-18 |
| 1316433188 | Tiffany Ka Yan Cheng | Pharmacist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2018-07-05 |
| 1386160166 | Kristine Mary Cody | Nurse Practitioner | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2017-08-14 |
| 1689112443 | Jaime Petro | Physical Therapist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2017-02-01 |
| 1760926661 | Aaron Pope | Speech-Language Pathologist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2016-12-12 |
| 1750833562 | Fairview Health Services | Eyewear Supplier (Equipment, not the service) | 3305 Central Park Village Dr, Suite 160, Eagan, MN 55121-7707 | 2016-10-27 |
| 1811448210 | Fairview Express Care | Eyewear Supplier (Equipment, not the service) | 3305 Central Park Village Dr, Suite 160, Eagan, MN 55121-7707 | 2016-10-20 |
| 1508289562 | Fairview Health Services | Clinic/Center | 3305 Central Park Village Dr, Suite 210, Eagan, MN 55121-7707 | 2014-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700342284 | Kayla Karina Somers | Occupational Therapist | 2842 Lexington Ave S, Eagan, MN 55121-1408 | 2019-02-20 |
| 1962877068 | Kara Ehrman | Occupational Therapist | 4765 Burr Oak St, Eagan, MN 55122-3321 | 2015-12-01 |
| 1497899413 | Amy Vogel | Occupational Therapist | 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 | 2007-02-16 |
| 1316586175 | Sarah Rinder | Occupational Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-12-26 |
| 1659929362 | Danielle Charlene Athmann | Occupational Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-08-27 |
| 1649831363 | Lucas Daniel Richer | Occupational Therapist | 2700 Vikings Cir, Eagan, MN 55121-1002 | 2019-06-24 |
| 1265939326 | Korie Jackson | Occupational Therapist | 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 | 2018-04-06 |
| 1497263495 | Kara Becker | Occupational Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2018-01-12 |
| 1417487927 | Erin Fullerton Kelly | Occupational Therapist | 1400 Corporate Center Curv Ste 200, Eagan, MN 55121-1372 | 2017-06-16 |
| 1134657554 | Susan L Leeke | Occupational Therapist | 3810 Alder Ln, Eagan, MN 55122-3831 | 2017-05-30 |
| Find all providers in EAGAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.